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PAMELA MOKOKO LLC NPI 1700324316


NPI Profile

NPI: 1700324316
Provider Name: PAMELA MOKOKO, LLC

Doing Business As: PRIMARY CARE & MENTAL HEALTH

Classification:Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
165 WILLOW OAK DR
RICHMOND HILL, GA
ZIP 31324
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Phone: (731) 595-4433

PAMELA MOKOKO, LLC is a psychiatric/mental health nurse practitioner in Richmond Hill, GA. PAMELA MOKOKO, LLC NPI is 1700324316. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Primary Care & Mental Health.

The provider's business location address is:

165 WILLOW OAK DR
RICHMOND HILL, GA
ZIP 31324-069
Phone: (731) 595-4433
Fax: (877) 600-8393

The provider's authorized official is Pamela Enjema Mokoko .
The authorized official title is Owner/ceo and has the following contact phone number (731) 595-4433.

The enumeration date for this NPI number is 2/2/2017 and was last updated on 2/2/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyRN153499GEORGIANo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthRN153499GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 9/12/2021

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